Individual
MARIA L BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 HOPPIN ST, CORO CENTER, 3RD FLOOR, PROVIDENCE, RI 02903-4141
(401) 793-8770
Mailing address
PO BOX 3238, BOSTON, MA 02241-3238
(866) 689-8862
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00761
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26355-1
BCBS RI
RI
01
—
409415
BLUECHIP
RI
Enumeration date
01/07/2006
Last updated
05/22/2008
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